MEDICARE: DR. ROGER Y MURRAY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	ME32904	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	B52983	OTHER	FL	BCBS PROVIDER

General Provider Information

NPI Number	:	1942288816
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROGER Y MURRAY MD

Provider Business Mailing Address
First Line	:	7932 W SAND LAKE RD
Second Line	:	SUITE 306
City	:	ORLANDO
State	:	FL
Zip	:	32819-7263
Country	:	US
Telephone Number	:	407-206-1500
Fax Number	:	407-206-1505

Provider Business Practice Location Address
First Line	:	7932 W SAND LAKE RD
Second Line	:	SUITE 306
City	:	ORLANDO
State	:	FL
Zip	:	32819-7230
Country	:	US
Telephone Number	:	407-206-1500
Fax Number	:	407-206-1505

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/02/2006
Last Update Date	:	03/21/2012

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